2026 Community Partner Workshop Registration Survey

1.First Name(Required.)

2.Last Name(Required.)

3.Email Address(Required.)

4.Community Agency/organization or University department (as applicable)

5.Job Title

6.Do you have any dietary restrictions/allergies?(Required.)

7.Additional RSVP(s) - agencies can bring up to 5 people total. (If more are desired for larger organizations email Daysi.carreto@scranton.edu).

Name

Job Title

Email Address

8.Additional RSVP(s):

Name

Job Title

Email Address

9.Additional RSVP(s):

Name

Job Title

Email Address

10.Additional RSVP(s):

Name

Job Title

Email Address

2026 Community Partner Workshop Registration